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aFF 1 <br /> 720 Olive Drive,Suite D Lab:916.297.3500 <br /> LLC Davis,CA 95616 Fax:916.297.4808 Page of <br /> Project Manager: Phone No.: <br /> Ake /& , .- 7-2Sv Chain-of-Custody Record and Analysis Request <br /> Comp ny/Address: ���f��,r�nQitS� dG0 No•: Fozpfo r Lab <br /> P ��3 Analysis Request F use only <br /> Pro/j/Ject/N�um/1ber: P.O. No.: Project <br /> Name: �, U+LE.T. X <br /> TOT <br /> Project Location: Sa Signature, <br /> AL(X) <br /> C/Csl�C.r � w <br /> co <br /> Container Method N <br /> sampiing (TypefAmount) Preserved Matrix g — <br /> C1 y N <br /> m e4 Z c0 <br /> 0 <br /> U� vim, O a (L m N N v <br /> to H ° �0 N a O a 0 <br /> ipgo <br /> � i m mmo � m ¢ N d�Vv <br /> `m m NDesignation _ m v z m m w w w w wSample z w Q Uzw aQQ L <br /> Date Time <br /> U v r <br /> -o <br /> L -Z/ <br /> Z -57 _a <br /> L. 7 0� <br /> - <br /> �- <br /> Rein shed by: a Time Received by: Remarks: <br /> 10111 <br /> '4zw-'26 <br /> elinquished by: <br /> Date Time Received by: Email address: <br /> ❑.doc ❑.xls ❑.txt ❑other <br /> Date Time Rece)ved by Laboratory: Bilf to: <br /> Relinquished by: ' <br /> C-0c.t� <br /> Distribution: White-Lab. Yb1Aow-RAP,Pink-Orrginator <br />